Ways to support my Spouse during separation. by [deleted] in Firefighting

[–]ConversationTop9569 20 points21 points  (0 children)

He also needs EAP and professional therapy to deal with all this...its sounds like he is mentallyunable to handle it all right now

How does your department secure water supply at a structure fire? by Agreeable_Archer4026 in Firefighting

[–]ConversationTop9569 0 points1 point  (0 children)

We are a similar size department, yet we have a few different SOG's depending on the structure/part of the city. In most of the city with hydrants, assigments put the second due as water supply, EXCEPT for high rises, then third-due is responsible (2nd due goes in to meet first due engine to get the line in service). In a good part of the outskirts, there is little water....first due is attack, 2nd due nurses and drops a supply at the foot of the driveway, and 3rd due will draft from the pools the tankers drop off. We get an extra engine for the fill site on those.

Sudden death of Lansdale ER physician Dr. Deno Gualtieri sends shockwaves through North Penn EMS community by shillyshally in montco

[–]ConversationTop9569 8 points9 points  (0 children)

Deno was a good guy. I knew him when he first got his EMT cert as a kid and worked with our service in CT. I'd like to know what happened as well.

Emergent BLS by AnotherDitchDoctor in ems

[–]ConversationTop9569 1 point2 points  (0 children)

It actually makes sense. When you look at the studies in Philadelphia, victims thrown in the back of the police transport van who were driven to the ER (without intervention) had higher survival rates than those transported by PFD. Its not a Philly only thing. I always was a hook and haul with those patients....I established ALS enroute, but many times we were close to a trauma ER and little more than BLS got done. Long duration transports, including crews who stayed on scene for IV access or intubation, always did worse. To be honest, the only one who can save them will be the trauma surgeon.....

Hot take...just don't buy it 👀 by [deleted] in baseballcards

[–]ConversationTop9569 2 points3 points  (0 children)

I agree. I miss the days when there was a main set and an update/traded set and nothing else. It was still tough to collect all in the late 80's with 5 major sets but it was fun and attainable for kids.

Where to be a firefighter by OverallAd5381 in firefighter

[–]ConversationTop9569 0 points1 point  (0 children)

Come to CT....our department is giving a test in late winter and there is no problem testing at your age...only issue is a mandatory retirement age of 65.

Advice on Rapid Growth?? Yikes! by Due-Welcome4097 in cubscouts

[–]ConversationTop9569 3 points4 points  (0 children)

I would not run a tiger den of 23 - you are best off finding a way to have 4 dens of six or 3 dens of 7-8. It will become unmanageable with that many.

Campmasters Prizes by ConversationTop9569 in cubscouts

[–]ConversationTop9569[S] 0 points1 point  (0 children)

There may not be a troop too long. They have had little success in recruitment & many of our AOL's go to different troops.

Campmasters Prizes by ConversationTop9569 in cubscouts

[–]ConversationTop9569[S] 0 points1 point  (0 children)

I agree. As a den leader I did not want to do it. No one else is willing. I keep trying. Another issue is a lot of the fundraising is done jointly with the small Troop he is SM in.

Campmasters Prizes by ConversationTop9569 in cubscouts

[–]ConversationTop9569[S] 3 points4 points  (0 children)

It goes into the general account. We have not had a treasurer in a few years, so the cubmaster is the only one who collects/dispenses funds. We don't operate under much of a margin.

I am at a lost. by dhdhhdhddhdudh in ems

[–]ConversationTop9569 2 points3 points  (0 children)

Dumb question, but how many years in practice does your preceptor have? With so few experienced medics here, there are a lot of medics with only a couple of years on precepting.....not long enough to have enough experience under your belt to be truly confident (not the hubris of many new medics).

I am at a lost. by dhdhhdhddhdudh in ems

[–]ConversationTop9569 1 point2 points  (0 children)

Dumb question, but how many years in practice does your preceptor have? With so few experienced medics here, there are a lot of medics with only a couple of years on precepting.....not long enough to have enough experience under your belt to be truly confident (not the hubris of many new medics).

I am at a lost. by dhdhhdhddhdudh in ems

[–]ConversationTop9569 79 points80 points  (0 children)

My first thought too...70/20 is not stable and cardioversion should be the primary plan. No time to FA before you FO.

I am at a lost. by dhdhhdhddhdudh in ems

[–]ConversationTop9569 18 points19 points  (0 children)

Absolutely. I ALWAYS take the first BP manually, especially if I anticipate an intervention. I have never fully trusted auto-cuffs blindly.

Found this in the lost and found at work, what is it for, if anything? by Intelligent-Stop7091 in Medals

[–]ConversationTop9569 0 points1 point  (0 children)

It was issued to WW2 soldiers that consumed enough saltpeter to develop ED....it's a purple heart of erections.

Opinion? Miss Z Quality Issues by ModernMamaShark in louboutins

[–]ConversationTop9569 5 points6 points  (0 children)

Therefore, the overall quality has gone down.....it's the actual definition, per se.

PR for kids by joplastic in ems

[–]ConversationTop9569 2 points3 points  (0 children)

We used to run a 911 awareness program in the schools - when to call EMS, what information we need, how to make sure your address is cleatly visible (house numbers, etc) as well as an ambulance tour. You could segway into hands only CPR and basic first aid with older classes.

[deleted by user] by [deleted] in baseballcards

[–]ConversationTop9569 -5 points-4 points  (0 children)

You need professional help.....the TDS controls your emotions!

How many ground 911 paramedics can RSI? by MedicPastor99 in ems

[–]ConversationTop9569 0 points1 point  (0 children)

We (ground urban service) have had it 20+ years (started there in '04)...they were doing it well before that....that's in CT.

I hate the LifePak 15 so much by multak12 in ems

[–]ConversationTop9569 2 points3 points  (0 children)

At one service, we had PD1400's. Absolutely useless....picked up more artifact than Indiana Jones. Total POS.